HomeMy WebLinkAboutBLD2021-00493 - 01 permit applicationDEPARTMENT OF COMMUNITY DEVELOPMENT
621 Sheridan Street, Port Townsend, WA 98368
Tel: 360.379.4450 | Fax: 360.379.4451
Web: www.co.jefferson.wa.us/communitydevelopment
E-mail: dcd@co.jefferson.wa.us
CERTIFICATE OF OCCUPANCY
BLD2021-00493
11/4/2021Issue Date:
PORT TOWNSEND, 98368
SITE ADDRESS:
PERMIT #:
APPLICANT:
2WRange:30Township:12Section:002124009PARCEL NUMBER:
Lot:Block:SUBDIVISION:
N
2022-10-12Final Date:
2381 CAPE GEORGE RD
ALAN BABBONI
SUSAN BABBONI TRUSTEE
2381 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9404
PHONE:360-385-5709
PROJECT DESCRIPTION:MANUFACTURED HOME REPLACEMENT
SEP1976-00014 and SEP1982-00004
THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2018
EDITION.
OCCUPANCY GROUP:
TYPE OF CONSTRUCTION:
SPRINKLER SYSTEM No
THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 2022-10-12
R-3
5N
Department of Community Development Director
\\tidemark\data\forms\F_BLD_Occupancy.rpt 2022-10-13
JEFFERSON COUNTY
DEPARTMENT OF COMMUNITY DEVEL
o #,,*,
621 Sheridan Street I Port Townsend, WA 98368
360-37I-4450 | emai| dcd@co..1efferson,wa.us
www co. jefferson.wa. u s/com mdevelopment
BUILDING PERMIT
PERTMIT #:
SITE ADDRESS
OWNER:
BLD2021-00493
2381 CAPE GEORGE RD
PORT TOWNSEND, 98368
ALAN BABBONI
SUSAN BABBONI TRUSTEE
2381 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9404
002124009
PHONE: 360-385-5709
Section: 12 Township: 30 N Ranqe: 2\l
8t19t2021
11t4t2021
11t4t2022
SUBDIVISION:
PARCEL NUMBER:
CONTRACTOR L&J ENTERPRISES
9272FLAGLER RD
NORDLAND WA 98358
PHONE:
Contractor's License LJENTJE962KQ
PROJECT DESCRIPTION: MANUFACTURED HOME REPLACEMENT
SEPI 976-00014 and SEP1 982-00004
TYPE OF WORK
TYPE OF IMP
VALUATION
CODE EDITION:
OCCUPANCY:
OCCUPANCY:
CONST TYPE:
CONST TYPE:
MOB
NEW
280,000.00
2018
R-3
5N
SQUARE FOOTAGE:
MAIN:
ADD'L:
HEAT BASE:
UNHEATED:
OTHER:
GARAGE:
DECK:
2,040
HEAT TYPE.
HEAT TYPE:
# OF STORIES:
SHORELINE:
SETBACK:
BANK HEIGHT
SEWAGE DISPOSAL
WATER SYSTEM:
BEDROOMS:
Exist:Prop: 2
Total: 2
OSS
l PWELL
BATHROOMS:
Exist:Prop: 2
Total: 2
HEALTH DEPARTMENT AND PUBLIC WORKS APPROUAL REQUIRED PRIOR TO FINAL INSPECTION
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED
BUILDING INSPECTION HOT-LINE 379-4455 https://www.co.jefferson.wa.us/1460/lnspections.
Request must be received by 3pm the day before the inspection is needed.
Final lnspections require 24 hour notice.
Office Hours 9:00 am - 4:30 pm MONDAY - THURSDAY
HOT LINE AVAILABLE 24 HOURS A DAY
SPECIAL CONDITIONS APPLY - SEE ATTACHED
Permit
Consistency Review
Potable Water Application
Scanning Fee
EH SEP/RES Rev
Tech Fee
$679.00
$291 00
$141 .00
$24.00
$141.00
$63.80
SJG
SJG
SJG
SJG
SJG
SJG
09t01121
09t01t21
09t01t21
09t01t21
09t01t21
09t01t21
1 98631
1 98631
'19863'1
'198631
1 98631
1 98631
$1,339.80Total:
Date:Amount Paid Bv Receipt:
R105.5 Expiration. Every permit issued shall become invalid unless the work authorized by such permit is commenced within
180 days after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of 180 days after
time the work is commenced
Received Date:
lssue Date
Expiration Date
Jefferson County Buildin ion Permit BLD2021-00493
Applicant: BABBONI
BUILDING PERMIT INSPECTION APPROVALS Appticabte Code: 2018 tnternational Buildins codes
To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed.
Requests received after 3:00 PM will not be scheduled for the next day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor & lndustries.
The electrical permit must be signed off by the State lnspector prior to the County's Framing lnspection
lnspection ltem Date Approval Signature Notes
Setbacks 05t02t2022 DONE MCC
MH Foundation 05t0212022 DONE MCC
Blocking & Tie Down 05102t2022 DONE MCC
Skirting & Ventilation 10t12t2022 DONE MCC
Address Posted 10t12t2022 DONE MCC
WRIA lTWater Meter I 10t12t202i DONE MCC METER
FINAL FINAL Building 10t12t202i DONE MCC
Septic System Finaled 08t18t2022 DONE CLE
fina! inspection will not be scheduled until the following are completed and signed off by the applicable Department;
o Building Permit Conditions dre met . Septic Permit Final/Complete for any building containing plumbing
o Land Use Conditions met and signed oll o Public Works Permit Finol (where applicable)
FINAL INSPECTION fiA ct lolnlun '7n,rbrr/rt// fr*Lrlnt
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCGUPIED
THIS PERMIT IS VALID FOR ONE YEAR
DITIONS for Building Permit LD2021 -00493
The project is located within WRIA 17 and thus is subject to compliance with the WA State
Department of Ecology ln- Stream Flow Rule for that region. The parcel is located within
the Quimper sub-basin in a designated Coastal ManagementArea; as such, state
regulations require the following:
1. INSTALLATION OF A WATER METER, MEETING DEPARTMENT OF ECOLOGY
SPECIFICATIONS, IS REQUIRED FOR ALL NEW USES THROUGHOUT THE
WATERSHED. (WAC 173-517-180). BROCHURES WtrH SPECIFICATIONS ARE
ENCLOSED WITH THE PERMIT.
Refer to enclosed documents for more INFORMATION; see Ecology web site at
http://www.ecy.wa.gov/programs/wr/instream-flows/quilsnowbasin.html or contact Ecology
at 360-407-6300.
) DWJ
) The site plan as submitted with the Building Permit application on has
been reviewed for consistency under the UDC, and has been approved by Jefferson
County Department of Community Development. Any modifications, changes, and/or
additions to the stamped, approved site plan dated November 1,2021 shall be
resubmitted for review and approval by Jefferson County Department of Community
Development.
This approval is for a Replacement of a Manufactured Home only. Any future permits on
this site are subject to review for consistency with applicable codes and ordinances and
does not preclude review and conditions which may be placed on future permits.
The project shall adhere to the Best Management Practices (BMPs) submitted by the
applicant to control stormwater, erosion and sediment during construction. BMPs shall
address permanent measures to stabilize soil exposed during construction, and in the
design and operation of stormwater and drainage control systems.
1.)
5)
7.)
) 10' minimum separation required between the water line and any onsite sewage system
components including sewage transport lines.
SEPTIC SYSTEM COMPONENT SETBACKS TO STORMWATER MANAGEMENT
FACILITIES -
Any interceptor/curtain drain or foundation drain, or any other source of water that is
downgradient or below MUST be setback a minimum of 30' from any septic system
dispersal area (drainfield) and 5'from any septic tanks.
S h blocks must be directed away from ALL septic components.
\\tidemark\data\forms\F_BLD_Perm it_Bldg. rpt 10t12t2022
o ,r,rDrNG PERMTT orrr,#,o*BLD2021-00493
Review Type:
2
2
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERII/IT #:
SITE ADDRESS
OWNER:
SUBDIVISION.
PARCEL NUMBER
BLD2021-00493
2381 CAPE GEORGE RD
PORT TOWNSEND, 98368
ALAN BABBONI
SUSAN BABBONI TRUSTEE
2381 CAPE GEORGE RD
PORT TOWNSEND WA 98368-9404
002124009 Section: 12 Township
Received Date: 811912021
PHONE:
Block:
30N Range: 2\
Lot:
CONTRACTOR:
REPRESENTATIVE
L&J ENTERPRISES
9272FLAGLER RD
NORDLAND WA 98358
KIMBERLY BARNETT
31 JOSEPHINE PLACE
SEQUIM WA 98382
Contractor's License LJENTJE962KQ
PHONE
Expires 813012021
PHONE: 360-477-6460
PROJECT DESCRIPTION: MANUFACTURED HOME REPLACEMENT
sEP1976-00014
TYPE OF WORK
TYPE OF IMP
VALUATION
CODE EDITION:
OCCUPANCY:
OCCUPANCY:
CONST TYPE:
CONST TYPE.
SEWAGE DISPOSAL:
WATER SYSTEM.
BEDROOMS:
Exist:Prop: 2
Total: 2
MOB
NEW
280,000.00
2018
OSS
BATHROOMS:
Exist.Prop: 2
Total: 2
SQUARE FOOTAGE:
MAIN:
ADD'L:
HEAT BASE
UNHEATEDI
OTHER:
GARAGE:
DECK:
2,040
pe
Permit
Consistency Review
Potable Water Application
Scanning Fee
EH SEP/RES Rev
Tech Fee
Total:
HEAT TYPE:
HEAT TYPE:
# OF STORIES:
SHORELINE.
SETBACK:
BANK HEIGHT
Amount Paid Bv: Date: Receipt
$679.00
$291.00
$141.00
$24.00
$141.00
$63 80
SJG
SJG
SJG
SJG
SJG
SJG
09t01t21
09t01t21
09t01t21
09t01t21
o9to1t21
09t01t21
1 98631
1 98631
1 98631
1 98631
1 98631
1 98631
$1,339.80
b.o ?/'ffi
q?3
DEPARTMENT OF COMMT'NITY DEVELOPMENT
621 Sheridan Street, Pon Ttrmsend, V A 98368
Tcl: 360-379.4450 | l;ax: 360.379.4451
\\'cb: mry.co.icffcson.wa.us,/communiqder.clopmcnt
E -mail: dcd@co.icff'ets rn.wa.us
PERMIT APPLICATION
Steps in the Permit Process:
-Review application checklist to ensure all information is completed prior to submitting application.
-Make sure septic has been applied for and water availability has been proven.
-Make an appointment to meet with the Permit Technician by calling 350-379-11450.
-This is not a standalone application; it must be accompanied by a project speciflc supplemental application.
-Fees will be collected at intake. Additional fees may apply after review and payment is required before permit is issued
For Department Use Only Building Permit #
MLA#Related ication #s:
Site lnformation
Access (name of street(s)) from which access will be gained:
o,
t-:7 2ea
Site Address and/or Directions to Property:
Assessor Tax Parcel Number:DOZ
-z
o ztlJ,/)
Present use of property:
Description of Work (include proposed
re.cL-L'l
Wastewater -
This property is served by Port Townsend or Port Ludlow sewer system?NOYE5
lf not served sewer identified above,below:of
o'/\
Are other residences connected to the septic system?
Additions or repairs to sewage system:
ls it a complete or partial system installation:
Has a reserve drainfield been designated?
Date of Last Operations & Maintenance check:
oo
a
Describe or attach any drainfield easements, covenants or on title, which may impact the property:
System Serving Property:Type of
Septic Permit #:
Name of
Complete / Partial
-
Yes No /
ett".h l.rt .-"port to application
Septic
Community Septic
mail
I (i.e.,
By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and
correct to the best of his or her knowledge.' Riy material falsehood or any omission of a material fact made by the owner/agent with
respect to this application packet may result in making any issued permit null and void.
(Owner
4., /e/'a/Y/+
4
Property
Name:
Address:
Phone #:
Pro zr4,a
ntative with project
\
il Address:
Please contact Authorized Age
ure:
(select only
Date:
sheet with each information andattach aNote: For re5with
t r/zt
E-mailAddress:_L
R 3
Authorized
un rTef--
lf other than owner)
Name:
Address:
Phone #:
Terrn
Professional:ls this an Authorized for YESNO
't I
Engineer
Name:
Address:
Phone #:E-mailAddress:
Architect Surveyor
?,
-/' ConsultantContractor
License #
Professional:ls this an Authorized Age for this project?NO"YES
Engineer
Name:
Address:
Phone f:
Architect Surveyor
E-mailAddress:
'Consultant,,t t"o/caContractor
License #
Professional:ls this an Authorized for this NO YES
Engineer
Name:
Address:
Phone #:
Consultant
E-mailAddress:7
Contractor
License #
or sent to
'7-
Architect SurveYor
;,, ? f.i.' e;7,7' i,- ir,"
->
Assessor lnformation
funAerrt Ao 7/-eda (.f
70D
Your Purchase Price (Don't include sales tax): $Purchase Date:
Home Data:
Model:
width:
Year:
Serial#:
Make:
Length
Previous Owner/Location of Home (if new move to question next question):
From whom did you purchase your manufactured home:
Was manufactured home assessed in Jefferson County last year:
lf yes, Previous address of manufactured home:
lf no, what County was M/H assessed in last year:
NOYES
Address
Where is the manufactured home to be located:
Willthe home be in a mobile home park?
lf located in a mobile home park: Name and address of park:
lf not located in a mobile home park: Name of land owner:
Location address:
Assessor tax parcel #:
3
YEsONod
,il.//,
or*
e"4
By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is
true and correct to the best of his, her, or its knowledge. Any material falsehood or any omission of a material fact made
by the owner/agent with respect to this application packet may result in making any issued permit null and void.
I further agree to that all activities I intend to undertake or complete associated with this permit will be performed in
compliance with all applicable provide access and right of
and
visits
of application review
upon the property for
(
Building lnformation //- //u ,4/a_r,$o1 ga,a ,Zl
Property Owner Name: ,4o.4/rr,',; /.t r Assessor Tax Parcel #: AO Z-/Z- / a);u c
Type of Manufactured Home:
Replacement Moved Demolition
Park On a Lot Temporary Construction Living Quarters o
Proposed Building/Project:
Square Footage:
Type of Heating:
200 L Number of Bedrooms:
Number of Bathrooms:
A
E /ec/ ri..Z
Deck: ty'o, o_Sq/Ft Garage: lTzn e_ Sq/Ft:
lnstaller:
Phone:
Address, City, State, ZiO, l? 7 He+n tH. R J /
2-lnstaller Email:
Contractor's License #:
entry to Jefferson County and
oate: /?/?a/zo
Check One:
New
Check One:
o
t-
DEPARTMENT OF COMMUNITY DEVELOPMENT
62.1 Shcridan Strcct, Port Townscnd, V'A 98368
Tel: 360.379.4450 | Fax 360.379.4451
Web: rv*'w.co.iefferson.rva.us/ communit) develoPment
E-mail: dcd(@ct-,.iclfcnon.wa.us
SUPPLEMENTAL APPLICATI ON
RESIDENTIAL OR COMMERCIAL BLDG PERMIT
For Department Use Only Receipt #:Date:
Related #s:ent #:
Enter the squ are footage (sq/ft) that applies in each field:
Site lnformation
o Assessor Tax Parcel #: A AZ/ ?ao
Oh.t
(Owner Name:
of Bui
Modular listOther
Relocated _
Demolition _ _ *
*A separate Permit is required
New
Addition
Replacement
Repair
Select One:
Single Family Residence {
Buildi
# new bedrooms Z existing
# new bathrooms existing
Number of floors I total bed
total bath
Heat Source
PropaneWood,/ Heating oil
Select all that apply:
Electric
Structure Existing Sq/Ft Proposed Sq/Ft ICC Valuatioh (office Use)
Residential / Commercial Main Floor /3oo 3 010
Residential / Commercial Second Floor
Additional Floors - heated / unheated
Basement - unfinished
Basement - finished space or habitable
Detached Garage - heated / unheated
Attached Garage - heated / unheated
Garage 2nd fl - unfinished storage
Garage 2nd fl - finished space or habitable
Carport - 2 walls or less
Deck - uncovered
Covered porch
Other (shed, barn, pole bldg,etc.)
Estimated Cost of Project (Required): $ag0 ooo s
List exist buildi on i.e. hou
with respect to this application packet may result in maki
sienarure, 7 o &(^o futG z/fu;P rinr
dwelli un shed ba mobile hom
By signing this application form, the owner/agent attests that the information provided herein, and in any attachments, is true and
correct to the best of his or hei knowledge. lny material falsehood or any omission of a material fact made by the owner/agent
ng any issued permit null and void.
*" ",ry'e,d r/, 6oJlon["r"Z
UseAll Existing Buildings on Property
, n e- r.-<i/orl/a / -,,4 D 'U-ta., e'E/c- /J ",2ro t e.--*s2 s Aa ro-=q ZAAj
Builders Statement
The signer of this statement certifies that they are the Owners of the parcel referenced herein,that they are not licensed
contractors and that they will be assuming ponsibility of the General Contractor for the proposed project
Signature Print Name oate' ,P-/7-?4
For Use
Building Permit Fees
Building Base
Plan Check Review
Land Use Review
Septic Review
Potable Water
Technology/Scan
State Fee
Other Fees
Shoreline Exemption
Zoning
Zoning
Other
New Address
Technology Fee - 5%
Total Fees
Receiot #
s288.00
s139.oo
s139.oo
s24.00
s6.s0
Date:Cas h/Check/CC:
I